Individual provider Active NPI

Lauren Conrad Knobeloch, ARNP

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1285070359
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5008063 Issued in NC
Practice address
8800 N Tryon St
Charlotte, NC 28262-3300
Phone
(704) 863-6000
NPI assigned
May 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9319805 FL
Nurse Practitioner 363L00000X 5008063 NC Primary

Addresses

Primary practice location

8800 N Tryon St
Charlotte, NC 28262-3300

Mailing address

PO Box 23321
New York, NY 10087-0332

Other practice location 1

169 Ashley Ave
Charleston, SC 29425-3300
Phone (843) 876-1344

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151208000833 NC Practitioner - Nurse Practitioner 3971742446 Reassigns benefits to 6 organizations
I20241218002783 SC Practitioner - Nurse Practitioner 3971742446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400

506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290

805 Pamplico Hwy
Florence, SC 29505-6047

Hospital & facility affiliations

  • Musc Medical Center Hospital, Charleston, SC, CCN 420004
  • Musc Health Florence Medical Center Hospital, Florence, SC, CCN 420091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5008063NCMDNurse Practitioner
ARNP9319805FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stallings Emergency Physicians, PLLC CurrentSince Feb 11, 2024 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Apr 20, 2024 Accepting new patients
The Carolinas Emergency Group, PLLC CurrentSince Feb 11, 2024 Accepting new patients
Ballantyne Emergency Physicians PLLC CurrentSince Feb 11, 2024 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Apr 20, 2024 Accepting new patients
Emergency Medicine Physicians of Mecklenburg County, PLLC CurrentSince Oct 15, 2015 Accepting new patients
Wake Forest Emergency Providers CurrentSince Apr 1, 2024 Accepting new patients
Ballantyne Emergency Physicians PLLC CurrentSince Feb 11, 2024 Accepting new patients
Musc Community Physicians CurrentSince Dec 1, 2024 Accepting new patients
Musc Community Physicians CurrentSince Dec 1, 2024 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients
Carolina Medicorp Enterprises Inc Past Accepting new patients

Locations

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

16035 Johnston Rd
Charlotte, NC 28277
Phone (704) 542-5132

6965 Fairview Rd
Charlotte, NC 28210
Phone (704) 631-1300

11516 Providence Rd
Charlotte, NC 28277
Phone (704) 667-0370

2001 Vail Ave
Charlotte, NC 28207
Phone (704) 304-5000

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

9121 Sam Furr Rd
Ste 108
Huntersville, NC 28078
Phone (704) 324-3590

1000 Healing Way
Matthews, NC 28104
Phone (800) 821-1535

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

2700 S Providence Rd
Waxhaw, NC 28173
Phone (704) 243-2254

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

169 Ashley Ave
Charleston, SC 29425
Phone (843) 792-3072

Interoperability endpoints

  • Direct secure messaging: lauren.knobeloch.p1@direct.scdc.nextgenshare.com
  • Direct secure messaging: lknobeloch1331261@direct.novanthealth.org
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: lknobeloch527855@direct.musc.edu

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1285070359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23321",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100870332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 N TRYON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623300",
            "telephone_number": "704-863-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "169 Ashley Ave",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294253300",
            "country_code": "US",
            "telephone_number": "843-876-1344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNOBELOCH",
        "first_name": "LAUREN",
        "middle_name": "CONRAD",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-16",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9319805",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5008063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "169 Ashley Ave",
            "city": "Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294253300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.